VOSH MEMBER APPLICATION

TO APPLY FOR MEMBERSHIP FIRST DETERMINE IF THERE IS A CHAPTER IN YOUR *REGION. IF THERE IS A CHAPTER YOU MAY APPLY FOR MEMBERSHIP BY DIRECTLY CONTACTING ITS PRESIDENT. IF NOT YOU MAY BECOME A MEMBER-AT-LARGE. MEMBERSHIP ENTITLES PARTICIPATION WITH OTHER CHAPTERS, A PERIODIC NEWSLETTER AND DAILY UPDATES ON VOSH.ORG. IF YOU WISH TO START A STATE CHAPTER VISIT HOW TO FORM A CHAPTER OR CONTACT This e-mail address is being protected from spambots. You need JavaScript enabled to view it

I WISH TO JOIN VOSH/INTERNATIONAL TO FACILITATE THE PROVISION OF VISION CARE WHERE IT IS NOT AFFORDABLE OR AVAILABLE.

NAME_______________________________________________________________________________

ADDRESS____________________________________________________________________________

OCCUPATION: ________________________________

HOME TELEPHONE: ___________________ OFFICE TELEPHONE: _____________________

I AM INTERESTED IN PARTICIPATING IN A VOSH MISSION (    ) (check box if interested)
I UNDERSTAND THAT ANY PARTICIPATION IN A VOSH MISSION IS AT MY OWN RISK.
 
VOSH/INTERNATIONAL IS A 501 ( C ) ( 3 ) TAX EXEMPT HUMANITARIAN ORGANIZATION.
(MANY BUT NOT ALL  CHAPTERS HAVE THEIR OWN TAX EXEMPT STATUS)

ANNUAL DUES OF $40.00 IS A TAX DEDUCTIBLE DONATION THAT WILL HELP US IN OUR MISSION TO PROVIDE VISION CARE WORLDWIDE TO THOSE WHO CAN NEITHER AFFORD NOR OBTAIN SUCH CARE.

PRINT AND MAIL TO:

MY TAX DEDUCTIBLE DONATION IN THE AMOUNT OF $ __________ IS ENCLOSED
For your convenience, you may pay your dues and make donations by using your credit card and clicking on the button above.
THANK YOU.

SIGNATURE___________________________________________________DATE_____________________

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